Instructions For Form Pa-20s/pa-65 - Schedule A - Interest Income - 2011 Page 2

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Schedule D, Part I or PA-20S/PA-65
Line 5
Schedule D, Part III, Line 13.
Other Interest Income not
For a listing of tax-exempt and
included on Line 3 and
taxable obligations, obtain
Line 4
Pennsylvania form REV-1643, Tax
Exempt Obligations for Pennsylvania
If the entity received interest income
Personal Income Tax Purposes.
reported on a line other than federal
1120S Schedule K, Line 4 or federal
1065 Schedule K, Line 5 then report
Completing the
as interest income for Pennsylvania
personal income tax purposes on PA-
PA Schedule A
20S/PA-65 Schedule A, Line 5.
Line 6
Business Name
Enter the complete name of the
Gross Pennsylvania Interest
entity or business as shown on the
Income
PA-20S/PA-65 Information Return.
Add Lines 3 through 5. Enter the
result on Line 6.
FEIN
Enter the 9-digit federal employer
Line 7
identification number (FEIN) of the
Pennsylvania-Exempt
entity or business as shown on the
PA-20S/PA-65 Information Return.
Interest Income included on
Line 6
Enter income reported as federal
Line Instructions
interest income that has been taxed
federally and is exempt for
Line 1
Pennsylvania purposes. This number
can be obtained from entity books
Interest Income from
and records. Refer to Pennsylvania
Federal Schedule K
form REV-1643, Tax-Exempt
Enter the amount reported on federal
Obligations for Pennsylvania Personal
Schedule K. This number will also tie
Income Tax Purposes.
to PA-20S/PA-65 Schedule M, Part A,
Line 4, Column A. Include federal
Line 8
Schedule K-1 interest income from
Pennsylvania-Taxable
other entities.
Interest Income
Line 2
Subtract Line 7 from Line 6. Enter
the result on Line 8. Enter this
Less Business or Rental
amount on the PA-20S/PA-65
Interest Income (Working
Information Return, Page 1, Part III,
Capital)
Line 3.
Enter the amount reported on PA-
20S/PA-65 Schedule M, Part A, Line
4, Column B and/or Column F.
Line 3
Adjusted Federal Interest
Income
Subtract Line 2 from Line 1. Enter
the result on Line 3.
Line 4
Federal-Exempt Interest
Income Taxable for
Pennsylvania Personal
Income Tax
Enter the amount reported on federal
Schedule K from line “Tax-exempt
interest income.”
- 2 -
Instructions for PA-20S/PA-65 Schedule A

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